1
Q
HPI
A
history of present illness
2
Q
PMH
A
patient medical history
3
Q
ROS
A
review of systems
4
Q
AFib
A
atrial fibrillation
5
Q
AAA
A
abdominal aortic aneurysm
6
Q
AB
A
abortion
7
Q
abd
A
abdomen
8
Q
ABG
A
arterial blood gas
9
Q
abx
A
antibiotic
10
Q
AMA
A
against medical advice
11
Q
AMI
A
acute myocardial infarction
12
Q
AMS
A
altered mental status
13
Q
approx
A
approximately
14
Q
appt
A
appointment
15
Q
appy
A
appendectomy
16
Q
ASA
A
aspirin
17
Q
Auto/Ped
A
automobile vs. pedestrian
18
Q
A&O x3
A
alert and orientated times 3 (person, place, time)
19
Q
BBS
A
bilateral breath sounds
20
Q
BCP
A
birth control pill
21
Q
bilat
A
bilateral
22
Q
BLE
A
bilateral lower extremities
23
Q
BM
A
bowel movement
24
Q
BS
A
bowel sounds
25
BP
blood pressure
26
BSG
blood sugar glucose
27
BUE
bilateral upper extremities
28
CABG
coronary arterial bypass graft
29
CAD
coronary artery disease
30
cath
catheter, catherization
31
CBC
complete blood count
32
CHF
congestive heart failure
33
CHI
closed head injury
34
chole
cholecystectomy
35
CMT
cervical motion tenderness
36
CNS
central nervous system
37
c/o
complains of
38
COPD
chronic obstructive pulmonary disorder
39
CP
chest pain
40
CPAP
continuous positive airway pressure
41
CPR
cardiopulmonary resuscitation
42
C&S
culture & sensitivity
43
CSF
cerebrospinal fluid
44
CTA
clear to auscultation, ct angiogram
45
CV
cardiovascular
46
CVA
cerebrovascular accident
47
CVAT
costovertebral angle tenderness
48
CXR
chest x-ray
49
C-collar
cervical spine collar
50
C-spine
cervical spine
51
C-section
cesarean section
52
d/c
discontinue
53
DIP
distal interphalangeal (joint)
54
DJD
degenerative joint disease
55
DKA
diabetic ketoacidosis
56
DM
diabetes mellitus
57
DNR
do not resuscitate
58
DTR
deep tendon reflex
59
DVT
deep vein thrombosis
60
Dx/ dx
diagnosis
61
EKG/ ECG
electrocardiogram
62
EOMI
extra ocular movements intact
63
epi
epinephrine
64
EtOH
ethanol
65
ETT
endotracheal tube
66
FB
foreign body
67
FHT
fetal heart tone
68
FROM
full range of motion
69
FTN
finger-to-nose
70
Fx
fracture
71
F/U
follow up
72
GB
gallbladder
73
GCS
glascow coma scale
74
GERD
gastro esophogeal reflux disease
75
GSW
gunshot wound
76
HA
headache
77
Hgb
hemoglobin
78
HCT
hematocrit
79
HTN
hypertension
80
h/o
history of
81
HR
heart rate
82
Hx
history
83
Hyst
hysterectomy
84
IBS
irritable bowel syndrome
85
ICD
implantable cardioverter-defibrillator
86
ICE
ice, compression, elevation
87
ICH
intracrainial hemorrhage
88
ICP
intracrainial pressure
89
IM
intramuscular
90
IUP
intrauterine pregnancy
91
IV
intravenous
92
IVPB
intravenous piggyback
93
I&D
incision and drainage
94
JVD
jugular venous distention
95
KUB
kidneys, ureters, bladder x-ray
96
L
left
97
lac
laceration
98
LBBB
left bundle branch block
99
LFT
liver function test
100
LLQ
left lower quadrant
101
LMP
last menstrual period
102
LNMP
last normal menstrual period
103
LOC
loss of consiousness
104
LP
lumbar puncture
105
L-spine
lumbar spine
106
LUQ
left upper quadrant
107
LVH
left ventricular hypertrophy
108
MAEW
moves all extremities well
109
med(s)
medication (s)
110
MI
myocardial infarction
111
MIP
metacarpointerphalangeal (joint)
112
MVC
motor vehicle collision
113
NAD
no acute distress
114
NCAT
normocephalic, atraumatic
115
NG
nasogastric
116
NH
nursing home
117
NKA
no known allergies
118
NKDA
no known drug allergies
119
n1
normal
120
NPO
noting by mouth (per os)
121
NRB
nonrebreather (oxygen mask)
122
NSR
normal sinus rhythm
123
NTG
nitroglycerine
124
N/V
nausea/ vomiting
125
N/V/D
nausea/ vomiting/ diarrhea
126
NVID
neurovascularly intact distally
127
NS
normal saline
128
O2
oxygen
129
obs
observe
130
OD
overdose
131
ortho
orthopedic
132
PA& LAT
posteroanterior and lateral (x-ray)
133
palp
palpation
134
PCN
penicillin
135
PCP
primary care physician
136
PE
pulmonary embolism
137
PERRLA
pupils equal, round and reactive to light and accommodation
138
PID
pelvic inflammatory disease
139
PIP
proximal interphalangeal (joint)
140
post-op
post operative
141
PPD
packs per day (cigarettes)
142
preg
pregnancy
143
PRN
as needed
144
Pt
patient
Medical scribe term
flashcards
Decks in class (4)
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